Hernias2

Treatment of inguinal hernias ,[object Object],[object Object],[object Object],[object Object]

Principles of treatment: ,[object Object],[object Object],[object Object]

Non-operative management: ,[object Object],[object Object]

Before operation: ,[object Object],[object Object],[object Object],[object Object]

Review: Anatomy of inguinal canal ,[object Object],[object Object],[object Object],[object Object]

Review: Anatomy of inguinal canal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Roof ： The conjoint tendon ,[object Object],[object Object],The posterior wall: the transverse fascia Floor ： The inguinal ligament The spermatic cord

Review: Anatomy of inguinal canal External oblique aponeurosis Conjoint tendon

Review: Anatomy of inguinal canal The transverse fascia Site for inguinal hernia

Operative techniques ,[object Object],[object Object],[object Object],[object Object],[object Object]

A. Simple high ligation of the sac: ,[object Object],[object Object],[object Object],[object Object]

B. Repair of hernia: herniorrhaphy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bassini repair: ,[object Object],[object Object],Roof ： Conjoint tendon ,[object Object],[object Object],The posterior wall: the transverse fascia Floor ： The inguinal ligament The spermatic cord

Shouldice repair: ,[object Object],[object Object],Roof ： Conjoint tendon ,[object Object],[object Object],The posterior wall: the transverse fascia Floor ： The inguinal ligament The spermatic cord

Halsted repair: ,[object Object],[object Object],[object Object],Roof ： Conjoint tendon ,[object Object],[object Object],The posterior wall: the transverse fascia Floor ： The inguinal ligament The spermatic cord

McVay repair: ,[object Object],[object Object],Roof ： Conjoint tendon ,[object Object],[object Object],The posterior wall: the transverse fascia Floor ： The inguinal ligament The spermatic cord The cooper’s ligament

Ferguson repair: ,[object Object],[object Object],Roof ： Conjoint tendon ,[object Object],[object Object],The posterior wall: the transverse fascia Floor ： The inguinal ligament The spermatic cord

C. Tension free Mesh repair ,[object Object],[object Object],[object Object]

D. Laparoscopic Repair ,[object Object],[object Object]

Operative techniques ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hernias2

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Hernias2